critical“The provider's audit systems did not adequately identify and address areas which needed to improve.”
leadership
1 finding
critical“there were widespread and significant shortfalls in service leadership. Leaders and the culture they created did not assure the delivery of high-quality care.”
staffing levels
1 finding
critical“She needs assistance to have a shower and get upstairs from two staff, but sometimes only one will arrive and this is not safe.”
missed or late visits
1 finding
moderate
“care visits were sometimes late and not always on time”
staff competency
1 finding
critical“Where DBS risk assessments were in place, these stated staff would only be working on calls with another member of staff, however call monitoring and daily records indicated this was not always followed.”
infection control
1 finding
moderate“PPE is worn by most of the carers but there are some who don't always wear aprons.”
record keeping
1 finding
moderate“Missing entries on the call monitoring logs had also not been highlighted.”
incident learning
1 finding
critical“This is the fourth consecutive inspection the service has not achieved an overall rating of good, with repeat concerns identified at each inspection.”